摘要
目的 探讨腹腔镜下广泛子宫切除术加盆腔淋巴结切除术治疗子宫恶性肿瘤的可行性及近期疗效.方法 比较2009-03- 2011-01 36例行腹腔镜下广泛性子宫切除术加盆腔淋巴结切除术及40例同期开腹行该类手术患者的临床资料,观察2组手术时间、术中出血量、切除淋巴结数目、住院时间、肠道排气时间、尿管留置时间及术后病率等的差异.结果 腹腔镜组术中出血量、淋巴结切除数、平均住院时间和术后病率均小于开腹组,差异有统计学意义.腹腔镜组手术时间长予开腹组,但差异无统计学意义.结论 腹腔镜下广泛子宫切除术加盆腔淋巴结切除术治疗子宫恶性肿瘤具有创伤小、恢复快、住院时间短、术后病率低等优点,且与开腹行此类手术相比同样安全有效.不失为治疗早期子宫恶性肿瘤的理想方法.
Abstract
Objective To investigate the treatment feasibility and short term effect of radical hysterectomy and pelvic lymphadenectomy under Laparoscopy for uterine malignancies. Methods Observe the difference of the operation duration, intraoperative blood loss, excised number of lymph nodes, hospitalization duration, time of passing gas, retention time of urinary tube, and postoperative morbidity of two group patients of uterine malignant tumor, 36 and 40 cases respectively, from March 2009 to January 2011, undergoing radical hysterectomy and lymphadenectomy with and without Laparoscopy(group 1 and group 2). Results Group 1 has lessintraoperative blood loss, excised number of lymph nodes, average hospitalization stay, and postoperative morbidity than group 2. Results have significant difference. Group 1 has longer operation duration. However, there was no significant difference between the two groups. Conclusions Two kinds of surgery have similar efficacy and safety. Compared with open surgery, the radical hysterectomy and pelvic lymphadenectomy under Laparoscopy has advantages of less trauma, quicker recovery, shorter hospital stay, lower postoperative morbidity when treating uterine malignancies. It is an ideal method.
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维普
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